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Home Politics & Law

Pattern or Practice, Patient or Suspect

Daily Remedy by Daily Remedy
August 8, 2021
in Politics & Law
0

Brutality, the word, is often associated with acts of aggression or violence.

But brutality does not necessarily have to be violent. In fact, brutality can be quite subtle – brutality can be in the bias.

A bias many who suffer from substance use dependencies find themselves facing when confronted by law enforcement. Are they suspects or patients? Are they suffering from addictions or craving as addicts?

Creating a conundrum that forms out of the lack of medical training among most law enforcement, and the underlying mental health conditions most patients with substance dependencies suffer from. That inevitably results in complex, high pressure situations that often distill into the one critical questions – in what instances should someone be treated like a patient or like a suspect?

For law enforcement, this is an incredibly difficult situation unfairly imposed upon them.

As Abraham Maslow said in 1966, “I suppose it is tempting, if the only tool you have is a hammer, to treat everything as if it were a nail.”

Law enforcement only recently began training to identify mental health conditions among patients and to defer traditional criminal enforcement tactics for more clinically sound, restorative approaches to justice. But the training is by no means standardized and inconsistently implemented across police departments across the country.

With the recent announcement by Attorney General Merrick Garland initiating a practice-or-pattern investigation on the Minneapolis police department, and a similar investigation on the Louisville police department, we should also consider the value of initiating an investigation to identify police practices that best address the patient-or-suspect conundrum in which many officers find themselves mired in.

Such an investigation would glean tremendous insight on the nuanced decision-making both law enforcement officers and mental health patients go through during high pressure situations, and would elucidate the subtle biases that lead certain officers to initiate medical interventions and others to initiate traditional law enforcement tactics.

Some may counter that the diverse population and varied police enforcement needs across different communities make it impossible to conduct such a study nationwide. A valid criticism – law enforcement must be locally-focused, to address specific needs unique to each community.

But we can still learn much by comparing communities, determining whether certain practices apply to other areas, or why certain practices only work in specific areas.

And develop models unique to each community that analyze police department activities and traditional crime metrics to the clinical outcomes for patients with substance use dependencies. These models would define patterns that emerge through when observing collective behaviors, among both law enforcement and mental health patients.

Patterns that can identify best practices among different police departments across different communities to improve the overall quality of law enforcement – helping police recognize that sometimes what appears to be a nail is not nail.

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Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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Most employers are unknowingly steering their health plans toward higher costs and reduced control — until they understand how fiduciary missteps and anti-competitive contracts bleed their budgets dry. Katie Talento, a recognized health policy leader, reveals how shifting the network paradigm can save millions by emphasizing independent providers, direct contracting, and innovative tiering models.

Grounded in real-world case studies like Harris Rosen’s community-driven initiative, this episode dives deep into practical strategies to realign incentives—focusing on primary care, specialty care, and transparent vendor relationships. You'll discover how traditional carrier networks are often Trojan horses, locking employers into costly, opaque arrangements that undermine fiduciary duties. Katie breaks down simple yet powerful reforms: owning your data, eliminating conflicts of interest, and outlawing anti-competitive contract clauses.

We explore how a post-network framework—where patients are free to choose providers without restrictive network barriers—can massively reduce costs and improve health outcomes. You'll learn why independent, locally owned providers are vital to rebuilding trust, reducing unnecessary procedures, and reinvesting savings into the community. This conversation offers clarity on the unseen legal landmines employers face and actionable ways to craft health plans built on transparency, independence, and aligned incentives.

Perfect for HR pros, benefits advisors, physicians, and employer leaders committed to transforming healthcare from the ground up. If you’re tired of broken healthcare models draining your budget and frustrating your staff, this episode will empower you to take control by understanding and reshaping the very foundations of employer-sponsored health. Discover the blueprint for smarter, fairer, and more sustainable benefits.

Visit katytalento.com or allbetter.health to connect directly and explore how these innovations can work for your organization. Your path toward a healthier, more cost-effective future starts here.

Chapters

00:00 Introduction to Employer-Sponsored Health Plans
02:50 Understanding ERISA and Fiduciary Responsibilities
06:08 The Misalignment of Clinical and Financial Interests
08:54 Enforcement and Legal Implications for Employers
11:49 Redefining Networks: The Post-Network Framework
25:34 Navigating Healthcare Contracts and Cash Payments
27:31 Understanding Employer Health Plan Structures
28:04 The Role of Benefits Advisors in Health Plans
30:45 Governance and Data Ownership in Health Plans
37:05 Case Study: The Rosen Hotels' Health Model
41:33 Incentivizing Healthy Choices in Healthcare
47:22 Empowering Primary Care and Independent Providers
The Hidden Costs Employers Don’t See in Traditional Health Plans
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Policy Shift in Peptide Regulation

Clinical Reads

Semaglutide and the Expansion Problem: When One Trial Becomes a Platform

Semaglutide and the Expansion Problem: When One Trial Becomes a Platform

by Daily Remedy
March 30, 2026
0

Semaglutide has moved beyond its original indication and now sits at the center of a widening set of clinical questions: cardiovascular risk, kidney disease progression, and even neurodegeneration. The question is no longer whether the drug lowers glucose or reduces weight—it does—but how far those effects extend across systems, and whether evidence from one population can be translated into another without distortion. Large, well-powered trials have produced consistent signals, yet those signals are now being applied in contexts that were...

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